Aphthous ulcer classifications: Difference between revisions
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===Minor aphthous ulcerations=== | ===Minor aphthous ulcerations=== | ||
This is the most common and least severe form of the disease. Aphthous ulcers develop in childhood and [[adolescence]], and continue sporadically throughout life. Aphthous ulcers occur exclusively on non-[[keratinized]], moveable mucosa, such as buccal (cheeks) and[[lingual]] mucosa, the floor of the mouth, and the [[soft palate]]. It is characterized as a yellow-gray ulcer surrounded by an[[erythema]]tous halo less than 10 mm in diameter. They tend to heal without scarring in 7–10 days. | This is the most common and least severe form of the disease. Aphthous ulcers develop in childhood and [[adolescence]], and continue sporadically throughout life. Aphthous ulcers occur exclusively on non-[[keratinized]], moveable mucosa, such as buccal (cheeks) and [[lingual]] mucosa, the floor of the mouth, and the [[soft palate]]. It is characterized as a yellow-gray ulcer surrounded by an [[erythema]]tous halo less than 10 mm in diameter. They tend to heal without scarring in 7–10 days. | ||
Typical '''treatment''' is with topical [[steroid]]s, although treatment is not necessary for healing to occur. | Typical '''treatment''' is with topical [[steroid]]s, although treatment is not necessary for healing to occur. | ||
===Major aphthous ulcerations=== | ===Major aphthous ulcerations=== | ||
''Major aphthous ulcers'' have the same appearance as minor ulcerations, but are greater than 10 mm in diameter and are extremely painful. They usually take more than a month to heal, and frequently leave a [[scar]]. These typically develop after[[puberty]] with frequent recurrences. They occur on moveable non-[[keratin]]izing oral surfaces, but the ulcer borders may extend onto keratinized surfaces. The lesions heal with scarring and cause severe pain and discomfort. | ''Major aphthous ulcers'' have the same appearance as minor ulcerations, but are greater than 10 mm in diameter and are extremely painful. They usually take more than a month to heal, and frequently leave a [[scar]]. These typically develop after [[puberty]] with frequent recurrences. They occur on moveable non-[[keratin]]izing oral surfaces, but the ulcer borders may extend onto keratinized surfaces. The lesions heal with scarring and cause severe pain and discomfort. | ||
[[Image:Aphthous ulcer in the back of the mouth.jpg|thumb|200px|left|Major aphthous ulcer in the back of the mouth]] | [[Image:Aphthous ulcer in the back of the mouth.jpg|thumb|200px|left|Major aphthous ulcer in the back of the mouth]] | ||
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This is the most severe form. It occurs more frequently in females, and onset is often in adulthood. It is characterized by small, numerous, 1–3 mm lesions that form clusters. They typically heal in less than a month without scarring. [[Palliative care|Palliative]] treatment is almost always necessary.<!-- | This is the most severe form. It occurs more frequently in females, and onset is often in adulthood. It is characterized by small, numerous, 1–3 mm lesions that form clusters. They typically heal in less than a month without scarring. [[Palliative care|Palliative]] treatment is almost always necessary.<!-- | ||
--><ref>{{cite journal | author = Bruce A, Rogers R | title = Acute oral ulcers. | journal = Dermatol Clin | volume = 21 | issue = 1 | pages = 1–15 | year = 2003 | id = PMID 12622264}}</ref> | --><ref>{{cite journal | author = Bruce A, Rogers R | title = Acute oral ulcers. | journal = Dermatol Clin | volume = 21 | issue = 1 | pages = 1–15 | year = 2003 | id = PMID 12622264}}</ref> | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 19:16, 25 January 2012
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Aphthous ulcer classifications On the Web |
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Risk calculators and risk factors for Aphthous ulcer classifications |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Classification
Aphthous ulcers are classified according to the diameter of the lesion.
Recurrent Aphthous Stomatitis
Recurrent Aphthous Stomatitis is a T-cell mediated localized destruction of oral mucosa associated with an increased relative ratio of CD8+ T-cells to CD4+ T-cells.
Minor aphthous ulcerations
This is the most common and least severe form of the disease. Aphthous ulcers develop in childhood and adolescence, and continue sporadically throughout life. Aphthous ulcers occur exclusively on non-keratinized, moveable mucosa, such as buccal (cheeks) and lingual mucosa, the floor of the mouth, and the soft palate. It is characterized as a yellow-gray ulcer surrounded by an erythematous halo less than 10 mm in diameter. They tend to heal without scarring in 7–10 days. Typical treatment is with topical steroids, although treatment is not necessary for healing to occur.
Major aphthous ulcerations
Major aphthous ulcers have the same appearance as minor ulcerations, but are greater than 10 mm in diameter and are extremely painful. They usually take more than a month to heal, and frequently leave a scar. These typically develop after puberty with frequent recurrences. They occur on moveable non-keratinizing oral surfaces, but the ulcer borders may extend onto keratinized surfaces. The lesions heal with scarring and cause severe pain and discomfort.
Herpetiform aphthous ulcerations
This is the most severe form. It occurs more frequently in females, and onset is often in adulthood. It is characterized by small, numerous, 1–3 mm lesions that form clusters. They typically heal in less than a month without scarring. Palliative treatment is almost always necessary.[1]
References
- ↑ Bruce A, Rogers R (2003). "Acute oral ulcers". Dermatol Clin. 21 (1): 1–15. PMID 12622264.
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